# NTSB ATL04FA045: Beech B200, N85BK, Morlan, GA, December 5, 2003 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: December 4, 2003, 19:40 local (Dec 5, 2003, 00:40 UTC) - Place: Morlan, GA - Coordinates: 33.29972, -84.75222 - Nearby events: https://openairdocs.org/map.md?lat=33.2997&lon=-84.7522&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 2 fatal - Status: Completed, report September 13, 2005 - Report: Approved by Office Director - Parties: Raytheon Aircraft, Atlanta FSDO, Pratt & Whitney Canada - NTSB case key (mKey): 58434 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ATL04FA045 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/58434/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=58434 - Page: https://openairdocs.org/ntsb/ATL04FA045 ## Probable cause The pilot's inadequate in-flight planning/decision when he continued the flight below the decision height and collided with trees. A related factor was the low ceiling. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight collision with object, approach - in-flight planning/decision - inadequate, pilot in command (cause) - weather condition - low ceiling (contributing factor) - altitude/clearance - not maintained, pilot in command (cause) - decision height - continued below, pilot in command (cause) - object - tree(s) ## Analysis Upon arriving at the destination airport, the controller cleared the flight for localizer 32 approach and informed the pilot that radar service was terminated and a frequency change was approved, report canceling IFR this frequency. The pilot acknowledged the clearance. A review of radar data revealed that the airplane was on course and lined up with the runway when the airplane collided with trees and the ground one mile south of runway 32. A review of information on file with Southeastern Air Charter, Inc., the operator of the accident airplane, found that the pilot's most recent Airman Competency/Proficiency Check was conducted in a Cessna 210. There were no records to indicate the pilot had under gone a flight-check in the Beech 200, as outlined in the Corporations FAA Approved Operational Specifications. Examination of the airframe and engines found no pre-existing discrepancies that would have precluded the airplane from operating properly prior to impact. Surface Weather Observations reported near the time of the accident. was visibility 1 to 1¼ miles; ceiling 200 feet overcast. A review of the approach plate found the minimum descent altitude for the approach to be 325 AGL and visibility 1 mile. ## Factual narrative HISTORY OF FLIGHT On December 4, 2003, at 1940 eastern standard time, a Beech B200 King Air, N85BK, registered to Eagle Air Holding LLC, Wilmington, Delaware, and operated by Southeastern Air Charter, Inc, collided with trees and subsequently the ground and burst into flames while on a localizer approach to runway 32, at the Newnan Coweta County Airport, near Morlan, Georgia. The repositioning flight was being operated under the provisions of Title 14 CFR Part 91, and instrument flight rules (IFR). Instrument Meteorological conditions prevailed and an IFR flight plan was filed. The commercially rated pilot and co-pilot received fatal injuries and the airplane substantial damage and there was post-crash fire. The flight originated in Douglas, Georgia on December 4, 2003, at 1915. According to the Director of Maintenance the airplane was returning from a Part 135, on-demand Air Taxi flight to Douglas, Georgia where they had dropped off several passengers. The purpose of this flight was to return the airplane to its base of operations. The Director of Maintenance stated that the reason the ATP rated pilot was in the right seat was that about a week prior to this flight the Pilot had an accident and had severed several fingers from his right hand. The ATP Pilot had undergone surgery to have them reattached and was experiencing some difficulty in operating the airplane's engine and propeller controls from the left seat. A partial review of communications between Atlanta Air Traffic Control Tower (ATCT), and the pilot revealed that he contacted the controller and stated that he was level at 5,000 feet and that he had the weather at Newnan; Coweta County Airport, and was requesting a lower altitude. The controller acknowledged the pilot's transmission and authorized a descent to 3,000 feet. The pilot acknowledged the transmission and began his descent. The controller asked the pilot if he would like an approach and the pilot acknowledged that he would like the localizer 32 for Newnan. The controller cleared the pilot for Localizer 32 at Newnan and informed him that radar service was terminated and a frequency change was approved, report canceling IFR this frequency. The pilot acknowledged the clearance. A review of radar data revealed that the airplane was on course and lined up with the runway when the accident occurred. Witnesses at the Newnan-Coweta Airport stated that they heard the pilot of N85BK, announce over the Unicom frequency that they were 10 miles out and on approach to runway 32. The witnesses stated that they looked at the weather computer and saw that the ceiling was down to 150 to 200 feet and they were wondering, "who was attempting to land at that time". They said they never heard any other radio calls from the accident airplane. The airplane crashed near the airport, and residents in the local area telephoned the 911-operator and reported an airplane crash. The airplane wreckage was located one mile south of runway 32, in a densely wooded area. PERSONNEL INFORMATION A review of information on file with the Federal Aviation Administration Airman's Certification Division, Oklahoma City, Oklahoma, revealed the pilot was issued a commercial pilot certificate with ratings for airplane single engine land, multi-engine land, and instrument airplane. The pilot was issued a flight instructor certificate on October 22, 2001, for airplane single engine land and instrument airplane. A review of records on file with the FAA Aero Medical Records revealed the pilot was issued a first class medical certificate on August 27, 2001, with the restriction that he wear corrective lenses. The pilot reported on his application for the medical certificate that he had accumulated 1,488 total flight hours. A review of information on file with Southeastern Air Charter, Inc., found that the pilot's most recent Airman Competency/Proficiency Check was conducted on January 11, 2003, in a Cessna 210. The pilot was signed off by the Corporations President/Check Airman. There were no records found nor did any of the Company's Officials recall the pilot having any other check rides since the last one recorded including instrument currency. Additionally, there were no records to show the commercial pilot had under gone a flight-check in the accident airplane as outlined in the Corporations FAA Approved Operational Specifications. A review of information on file with the Federal Aviation Administration Airman's Certification Division, Oklahoma City, Oklahoma, revealed the co-pilot was issued a Commercial pilot certificate with ratings for airplane single engine land, and a Airline Transport pilot certificate with ratings for airplane multi-engine land. Additionally, the Co-Pilot was type rated in the A-300, DC-9, B727, B757, and the B767 Transport Category Airplanes. He was Certificated as a Flight Instructor in Airplane Single and Multiengine land and Instrument airplanes. The Co-Pilot was also certificated as a Airframe and Powerplant Mechanic, and was Certified as a Flight Engineer in Turbojet Powered and Turbo Propeller Aircraft. A review of records on file with the FAA Aero Medical Records revealed the co-pilot was issued a second class medical certificate on March 29, 2003, with no restrictions. The co-pilot reported on his application for the medical certificate that he had accumulated 2,100 total flight hours. Additionally, the Co-pilot was the President of Southeastern Air Charter, Inc., and was Designated by the FAA as the Company's Check Airmen. For this flight the ATP rated pilot, enlisted the help from one of his employees who was a Commercial Pilot but had not been checked out in accordance with Southeastern Air Charters FAA Approved Operations Specifications, in the airplane and was not current in instrument flying, to fly in the left seat to operated the controls. A review of Title 14 CFR Part 61.53 (a) Prohibition on operations during medical deficiency states in part that "Operations that require a medical certificate except as provided for in paragraph (b) of this section, a person who holds a current medical certificate issued under part 67 of this chapter shall not act as pilot in command, or in any other capacity as a required pilot flight crewmember, while that person: (1) Knows or has reason to know of any medical condition that would make the person unable to meet the requirements for the medical certificate necessary for the pilot operation." In addition, the Commercial Pilot was listed as the pilot-in-command of record for this flight on the IFR Flight Plan filed with the FAA. AIRCRAFT INFORMATION A review of maintenance records revealed that the airplane was on a Continuous Airworthiness Inspection Program. The most recent phase inspection occurred on July 2002. At the time of the accident the airplane had accumulated a total time of 9,864 hours, and 183.8 since that last inspection. METEOROLOGICAL INFORMATION Surface Weather Observations reported near the time of the accident. Newnan Coweta County Airport, Newnan, Georgia (KCCO) December 4, 2003, 1859 AUTO … Winds 070 degrees at 4 knots; visibility 1 ¼ miles; ceiling 200 feet overcast; temperature 2 degrees C; dew point 2 degrees C; altimeter setting 30.12 inches of Hg. December 4, 2003, 1920 AUTO … Winds 060 degrees at 3 knots; visibility 1 mile; ceiling 200 feet overcast; temperature 2 degrees C; dew point 2 degrees C; altimeter setting 30.12 inches of Hg. Falcon Field, Atlanta, Georgia (KFFC) is about 10 nautical miles east-northeast of Newnan Coweta County Airport, Newnan, Georgia. December 4, 2003, 1853 AUTO … Winds variable at 3 knots; visibility 1 ½ miles; mist; ceiling 200 feet overcast; temperature 2 degrees C; dew point 2 degrees C; altimeter setting 30.12 inches of Hg. December 4, 2003, 1953 AUTO … Winds variable at 3 knots; visibility 1 ½ miles; mist; ceiling 200 feet overcast; temperature 2 degrees C; dew point 2 de ## Aircraft - Registration: [N85BK](https://openairdocs.org/deregistered/N85BK-2005-12-06), registration cancelled 2005-12-06, S/N BB-734, built 1980 (OpenAirDocs) - Reported make and model: Beech B200 - Registry model: [Beech B200](https://openairdocs.org/model/beech-b200) (registry code 1152922) (OpenAirDocs) - Registry engine: [U/A Canada PT6A series](https://openairdocs.org/engine/u-a-canada-pt6a-series) (registry code 61508, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: BB-734 - Airframe hours: 9864 - Engines: Pratt & Whitney Canada PT6a-42 715 horsepower turbo prop; Pratt & Whitney Canada PT6A-42 715 horsepower turbo prop - Damage: Destroyed - Fire: On-Ground - Flight: Positioning, Part 91 - Operator: Southeastern Air Charter - Registered owner: Eagle Air Holding LLC - Airworthiness certificate: Standard, Normal - Last inspection: Continuous airworthiness, July 1, 2002, 183.8 hours before - Departed: DQH, Douglas, GA - Destination: CCO, Newnan, GA - Flight plan: IFR - Airport: CCO, Newnan; Coweta Co, runway 32, 5,025 × 100 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 31; injuries: fatal; commercial, flight instructor; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review January 1, 2003; seat: left; toxicology performed; flight hours: 1,248 total - Co-pilot; age 61; injuries: fatal; commercial, airline transport, flight instructor, flight engineer; airplane ratings: multi-engine land, single-engine land; medical: class 2, without waivers/limitations; last flight review July 1, 2003; seat: right; toxicology performed; flight hours: 20,000 total ## Weather - Conditions: Instrument (IMC), Dusk - Wind: 0° at 0 knots - Visibility: 2 statute miles - Lowest ceiling: 200 ft overcast - Temperature: 36 °F, dew point 36 °F - Altimeter: 30.12 inHg - Observed at: FFC, 30 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20031204033079A](https://openairdocs.org/incident/20031204033079A), Dec 4, 2003: Beech B200, Moreland, GA, Destroyed, 2 fatal. (-23) On December 4, 2003, at 1940 local time, N85BK, a Beechcraft BE-200 king air, operated by southeastern air charter, inc, (sac) collided with trees and… ## Docket (21 files) The files NTSB released with the investigation on May 31, 2005, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=58434. 8.4 MB in all. - Meteorology 5 - Factual Report of Weather Specialist (item 1, .PDF, 269 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40209114&FileExtension=.PDF&FileName=Meteorology%205%20-%20Factual%20Report%20of%20Weather%20Specialist-Master.PDF - Approach Plate (item 2, .PDF, 43 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231854&FileExtension=.PDF&FileName=Approach%20Plate-Master.PDF - Operation Specifications (item 3, .PDF, 423 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40414160&FileExtension=.PDF&FileName=Operation%20Specifications-Redacted.PDF - Statement of Party Representatives to NTSB Investigation (item 4, .PDF, 75 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40414161&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Pilot Record - PIC (item 5, .PDF, 781 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40414162&FileExtension=.PDF&FileName=Pilot%20Record%20-%20PIC-Redacted.PDF - Pilot Record - Second Pilot (item 6, .PDF, 1.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40414163&FileExtension=.PDF&FileName=Pilot%20Record%20-%20Second%20Pilot-Redacted.PDF - Radar Track (item 7, .PDF, 33 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231864&FileExtension=.PDF&FileName=Radar%20Track-Master.PDF - Toxicological Report - PIC (item 8, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231865&FileExtension=.PDF&FileName=Toxicological%20Report%20-%20PIC-Master.PDF - Toxicological Report - Second Pilot (item 9, .PDF, 75 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231866&FileExtension=.PDF&FileName=Toxicological%20Report%20-%20Second%20Pilot-Master.PDF - Wreckage Diagrams (item 10, .PDF, 64 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231867&FileExtension=.PDF&FileName=Wreckage%20Diagrams-Master.PDF - Photo 1 Main Wreckage (item 11, .PDF, 519 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231898&FileExtension=.PDF&FileName=Photo%201%20Main%20Wreckage-Master.PDF - Photo 2 Main Wreckage Looking Aft (item 12, .PDF, 494 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231899&FileExtension=.PDF&FileName=Photo%202%20Main%20Wreckage%20Looking%20Aft-Master.PDF - Photo 3 Cabin Area (item 13, .PDF, 486 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231900&FileExtension=.PDF&FileName=Photo%203%20Cabin%20Area-Master.PDF - Photo 4 Cut Tree Limb (item 14, .PDF, 519 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231901&FileExtension=.PDF&FileName=Photo%204%20Cut%20Tree%20Limb-Master.PDF - Photo 5 Cut Tree Limb 2 (item 15, .PDF, 513 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231902&FileExtension=.PDF&FileName=Photo%205%20Cut%20Tree%20Limb%202-Master.PDF - Photo 6 Cut Tree Limb 3 (item 16, .PDF, 527 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231903&FileExtension=.PDF&FileName=Photo%206%20Cut%20Tree%20Limb%203-Master.PDF - Photo 7 Flight Path through trees (item 17, .PDF, 519 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231904&FileExtension=.PDF&FileName=Photo%207%20Flight%20Path%20through%20trees-Master.PDF - Photo 8 Portion of Right Wing (item 18, .PDF, 497 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231905&FileExtension=.PDF&FileName=Photo%208%20Portion%20of%20Right%20Wing-Master.PDF - Photo 9 Vertical Stabilizer (item 19, .PDF, 509 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231906&FileExtension=.PDF&FileName=Photo%209%20Vertical%20Stabilizer-Master.PDF - Photo 10 Airplane laid out (item 20, .PDF, 465 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231907&FileExtension=.PDF&FileName=Photo%2010%20Airplane%20laid%20out-Master.PDF - Photo 11 Overview of Aircraft Damage (item 21, .PDF, 448 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40231908&FileExtension=.PDF&FileName=Photo%2011%20Overview%20of%20Aircraft%20Damage-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.